PPRuNe Forums - View Single Post - Blind use of flight director could have led to crash
Old 2nd Jun 2020, 16:20
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safetypee
 
Join Date: Dec 2002
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Setting the altitude value in the mode controller:-

Aircraft type dependent, but the risks in using a procedure requiring Alt Sel to be used as a reminder / safety check at mins, were identified many years ago.

We, individually and organisationally forget.

Or do we change things believing that safety will improve. Management (training) not understanding the system operation in comparison for the desire for standardisation - SOP minded; or if known, then who decided that the risk was tolerable, what were the mitigations - knowledge, communication, training.

If - probably, crews had been caught before, but recovered (not reported), then how can we expect to improve safety.
Why bother to report the event if it is an SOP; a drift to pilot error, yet the root issues are in the technical, operational, and safety management mindsets.
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